FORM 1023-EZ for SERVE WITH ACTION

Field Data
EIN 46-3417243
Case Number EO-2017270-000368
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SERVE WITH ACTION
Organization’s Mailing Address 27007 90TH AVE NW
City STANWOOD
State WA
ZIP 98292
Accounting period End 12
Primary contact name JAMES SEATON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JAMES SEATON
PRESIDENT
403 RUSSELL RD
CAMANO ISLAND WA 98282

Officer/Director/Trustee Two

EMILY PLATER
VICE PRESIDENT
25119 MARINE DR
STANWOOD WA 98292

Officer/Director/Trustee Three

TIMOTHY POETZL
SECRETARY
28448 71ST DR NW
STANWOOD WA 98292

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/14/2013
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P99 - Human Services - Multipurpose and Other N.E.C.
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee No
Donation of funds No
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance No
One Third Support Public No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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